01 Knee

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  • patella: in front of knee. Knee cap

  • menisci: cushings

Bones

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  • where femur meets knee joint: 2 condyles

  • tibia also has condyles

  • tibial tuberosity: ligament attach to patella inserts here

Ligaments

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ACL

  • pull tibia forward in lower leg restricted

PCL

  • find patellar first

  • top bone: femur

  • bottom bone: tibia

  • left pic: black line attaching to anterior tibia (anterior cruciating)

  • right pic: black line attach to posterior tibia (posterior cruciating)

Collateral

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  • valgus: distal bone in joint moves away from midline. V for upside down V

MCL

LCL

  • does not attach to tibia but fibula

Menisci

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  • MRI: triangular black triangles on either side of knee

Injury

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ACL

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  • NFL football

  • ACL resists forward movement

PCL

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  • car crash, knee into dashboard, push lower leg backward

  • increased backward movement of the tibia against a fixed femur

MCL

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  • push knee medially or pull laterally

  • tackle in football or just twisted

  • test: passively move leg into valgus position: medial space widens

Unhappy Triad

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  • foot planted, someone wacks from side, pushes knee medially

LCL

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  • difficult to injure, need force on inside of knee

  • massive trauma that damages everything

Meniscus

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  • A meniscus injury typically shows a small joint effusion and crepitus, locking, or catching with range of motion.

Others

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  • joints often surrounded by bursa

  • slippery cushings

[_](baker's cyst cause, symptoms)..

  • any injury would cause cyst from communication of synovium and bursa

  • degenerative osteoarthritis, inflammatory arthritis

  • white

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